Department for Work and Pensions

Health and Disability Reform: Update

Mel Stride: I wish to inform the House that my department has today published a Command Paper launching the public consultation entitled Modernising Support for Independent Living: The Health and Disability Green Paper. The consultation seeks views on options to fundamentally change Personal Independence Payment (PIP).PIP was introduced in 2013 to provide non-means tested cash payments to disabled people and people with health conditions to help them live independent lives. The intention was that PIP would be a contribution to extra costs arising from their disability and a more sustainable, dynamic benefit that would also pay greater attention to mental health than its predecessor, Disability Living Allowance (DLA).This Government’s priority is to make sure that our welfare system is fair and compassionate. Fair on the taxpayer by ensuring people of working age who can work, do work, and fair on those who are in most need of the state’s help. Welfare at its best is about more than just benefit payments; it is about changing lives for the better. However, our current disability benefit system for adults of working age is not providing support in the way that was intended.We know that any additional costs arising from a disability or health condition – which PIP is intended to help with – can vary significantly and are unique to the individual’s circumstances. Some people on PIP may have relatively small one-off or ongoing additional costs related to their disability or health condition that are fully covered by their award while others may find the current system does not provide enough support to meet their needs. However, the current system operates a one size fits all model and does not channel people towards bespoke support tailored to an individual’s needs. We want to understand whether there are other forms of support that may be more suitable for everyone, including people with mental health conditions.In the decade since the introduction of PIP, the nature and understanding of health and disability has also changed profoundly, and the clinical case mix has evolved in line with these broader changes including many more people applying for disability benefits with mental health and neurodivergent conditions.Costs and caseloads have risen in line with this. In 2019, there were an average of 2,200 new PIP awards a month in England and Wales where the main disabling condition was mixed anxiety and depressive disorders, which has more than doubled to 5,300 a month in 2023. Over the coming 5 years, PIP spending is expected to grow by 63% (£21.6bn to £35.3bn, 23/24 to 28/29). Each month there are now 33,000 people joining the benefit, around double the rate before the pandemic. The forecast spending on people of working age with a disability or health condition for 2024/25 is £69bn.We believe it is the right time to look again at ensuring government support for people with disabilities and long-term health conditions is focused where it is most needed.This Green Paper looks at whether there are ways we can improve how we support people, in a way that it is also fairer to the taxpayer than the current system. Our approach to transform the benefits system for disabled people and people with long term health conditions is guided by three important priorities. These are:Providing the right support to the people who need it most.Targeting our resources most effectively.Supporting disabled people to reach their full potential and live independently.This Green Paper will explore changes we could make to the current PIP system to ensure support is targeted where it is most needed. These options include:Considering options for amending PIP eligibility within the current functional assessment framework.Exploring the option of an alternative assessment model focused more on a person’s condition.Looking at different models that could be used to meet the extra costs disabled people and people with health conditions face.Exploring greater alignment of the support offered by PIP with existing local services.Responsibility for health and disability benefits lies with both the UK Government and Devolved Administrations. We will continue to work with the Devolved Administrations to consider the implications of the proposals in this Green Paper in Scotland, Wales, and Northern Ireland.We will always be committed to supporting the most vulnerable. We believe that now is the right time to look again at ensuring government support for people with disabilities and long-term health conditions is focused where it is most needed.

Cabinet Office

Update on Government Security

Alex Burghart: The Government takes the security of the UK's citizens, systems and establishments extremely seriously and we have a range of measures in place to scrutinise the integrity of our arrangements.This was demonstrated in our recent updates on steps to prevent potential security risks materialising in light of the increasing capability and connectivity of visual surveillance systems.Our approach is preventative to manage and mitigate any potential risk materialising in the future.That is why in November 2022 the Government instructed all departments to cease deployment of such equipment onto sensitive sites, where it is produced by companies subject to the National Intelligence Law of the People’s Republic of China.Departments were also advised that no such equipment should be connected to departmental core networks and that they should consider whether removal and replacement of such equipment should be expedited rather than awaiting any scheduled upgrades. In June 2023, during the Report stage of the Procurement Act, the Government also committed to setting out a timeline for the removal of such equipment from sensitive sites.Work on the removal of these devices is currently ahead of schedule. To date, it has been identified that the vast majority of sensitive sites never deployed such equipment. Of the small proportion that did, approximately 50% of sites have now had that equipment replaced. Work is pressing ahead to remove remaining devices, with approximately 70% of sites expected to have their surveillance equipment removed by October this year, and all remaining sites on track for complete replacement no later than April 2025. The Government will always keep the security of our personnel, information and estate under constant review and, again, these preventative steps were taken in line with that approach and to manage against risks materialising.